0 Miscarriage Signs Causes and Treatment

Miscarriage - Signs, Causes and Treatment

The miscarriage is known as abortion. A miscarriage is always the case when the pregnancy ends before the fetus is viable independent. As miscarriage is called, if the pregnancy within the first 23 weeks of pregnancy comes to an end. In this case, no heart sounds in children are more noticeable. The risk of miscarriage decreases with the progression of pregnancy. Among the signs of life are breathing and heartbeat and pulse navel. A birth weight of less than 500 grams allows you to define miscarriage.

A premature birth after the 24th Week of pregnancy and a child born alive are called premature birth. If the child after the 24th Week of pregnancy and birth is dead, then it is called a stillbirth.

How common is a miscarriage?

The miscarriage is one of the most common complications that can occur in pregnancy. Women under 30 years have recorded a death of about 50 percent of fertilized eggs, even before a pregnancy is established. In women over 30 years worth of increases linearly.

Most miscarriages - that is about 75 percent, occur within the first trimester of pregnancy - which is 1 Trimester - on. Since miscarriages are often unnoticed in the first phase of pregnancy, can for the actual number of abortions carried out only an estimate. Many miscarriages are seen as enhanced and delayed menstruation.

Classification of miscarriages

A miscarriage is classified according to different criteria. Here is the distinction:
"The cause of the miscarriage

These include the spontaneous abortion, in which the miscarriage happened due to natural causes. An artificial abortion, which is also called artificial abortion is caused by drugs, chemicals or other factors. Even the deliberate abortion belongs to the artificial abortion.

»After the date of occurrence of the abortion

The Earliest abortion often occurs then, when genetic defects lead to a miscarriage. In this case, abortion is already given immediately after the implantation of the fertilized ovum. The abortion is then usually held at the time, would take place where the expected menstruation. Due to the strength of this bleeding abortion corresponds very often the normal menstrual. It is believed that a great many women, describing a late and heavy menstrual bleeding, in reality, had a miscarriage. While most women do not know that they have suffered a miscarriage.

The early abortion is given when the abortion until the 12th Gestation is given.
During late abortion is a miscarriage, the 13th after the Week of pregnancy occurs.
»According to the body temperature, which was the mother at the time of miscarriage

The afebrile abortion is a miscarriage occurring without fever and the body temperature of the mother has up to 37.9 degrees Celsius.

The febrile abortion can have two forms:
slight progressive form - febrile abortion, in which the body temperature of the mother from 38 to 39 degrees Celsius.
severe form - is also known as septic abortion. This is about a miscarriage with sepsis, wherein a body temperature of greater than 39 degrees Celsius occurs.

Development and stages of miscarriage

Abortus imminens

As abortion imminens refers to the threatened miscarriage. In this case, bleeding occurs, the pregnancy itself is still intact. The threat of miscarriage can be stopped immediately by an incipient therapy.

Abortus icipiens

In the abortion incipiens incipient miscarriage is given. In this case, the demolition is well underway, the pregnancy can not get going. The water broke at this stage already. Also, the labor has been extensively used. The Therpaie can now no stopping the progression of the miscarriage. The abortion must be ended as soon as possible to avoid complications.

Abortus incompletus

From abortion incompletus spoken if it is a so-called incomplete miscarriage. In this case the miscarriage be terminated as soon as possible within a hospital.

Abortus completus

The complete miscarriage and a stoppage of blood flow as abortion completus called.

Missed abortion

The so-called Missed abortion is a special form of abortion, because this is a so-called restrained abortion. Of this variant of the miscarriage is when an early infant death occurs, but here it is neither labor nor is bleeding. In this form of miscarriage go subjective signs of pregnancy decreased significantly. A hedge of infant death is via the ultrasound examination. The pregnancy is terminated in this case in a hospital.

Septic abortion

When septic abortion is the most severe form of abortion in which a blood infection and severe fever the mother occur. This form of miscarriage can be very dangerous for the mother.

Habitual abortion

Of habitual abortion is a recurrent miscarriage. Dese designation is used when three or more pregnancies are terminated by one after a miscarriage.

Causes of miscarriage

A miscarriage or an abortion can have different causes. It is rarely possible, however, the reasons for the abortion actually uncover. Generally takes a differentiation
between childhood, the so-called fetal,
the maternal
and the paternal causes instead.

Known fetal causes of miscarriage are the chromosomal mutation, which is responsible for about 50 to 70 percent of the abortions. Infections of the child, medication effects and so-called ionizing radiation, such as X-rays, can lead to a miscarriage.

Maternal causes of miscarriage

Maldevelopment of the placenta can, as well as a malformation of the uterus, leading to miscarriage. Furthermore, tumors, adhesions, or a weak cervix, known as cervical incompetence, cause a miscarriage. Mechanical trauma such as a fall can, as big psychological stress cause a miscarriage.

In addition, hormonal, so called endocrine disturbances such as a diabetes or an overactive thyroid gland, leading to miscarriage. Rh incompatibility between mother and child can have a immune response to the miscarriage, have resulted. Also, drug, alcohol and drug abuse and nicotine can cause miscarriage. Ultimately, in the worst case even excessive coffee consumption cause a miscarriage.

Paternal causes of miscarriage

In the paternal causes of miscarriage are often sperm abnormalities or genetic disorders that lead to abortion.
Other disorders that lead to abortion

Also, pregnancy-specific hormonal disorders mother, for example, a so-called Copus luteum insufficiency, or hormonal disorders in children, such as the so-called Trophoblastininsuffizienz can cause endocrine abortion.
Signs and symptoms of miscarriage

Eie miscarriage can have different symptoms.
vaginal bleeding
blow like pain
Back pain

In the advanced stage of pregnancy, it can also come to the escape of amniotic fluid.

The so-called febrile abortion is the most severe form of miscarriage, which can be very dangerous for both mother and child. This miscarriage is shown both by severe fever and by purulent discharge.

Much more difficult, however, the diagnosis of the so-called abortion is Misses. Here, the typical symptoms of a miscarriage almost entirely missing. The signs of the Missed abortion are usually given to the effect that no more de uterus grows and that also no sign of life of the infant are provided in the form of movements and heart sounds. These can be detected by ultrasound.

Respect Eigendiagosen!

Important to know is that not all of these symptoms necessarily indicate a miscarriage. Also, individual symptoms or can all occur without affecting overall negative effect on the pregnancy. Complaints within a pregnancy should be discussed exclusively with the gynecologist.

Diagnosis of miscarriage

The diagnosis of miscarriage is done by the identification of typical symptoms (bleeding, uterine contractions, outgoing amniotic fluid). Furthermore, the childs vital signs are checked by the ultrasound and the CTG. Here the childs heartbeat will be recorded and monitored. Are no signs of life of the child by the appropriate examinations detected, a miscarriage or a stillbirth in an advanced stage of pregnancy is likely.

Only after the child is born and the placenta can take place a precise diagnosis of miscarriage. Here are often - but not always - the reasons for the miscarriage to find.

Therapy before and after miscarriage

»At the first sign

With signs of miscarriage, the pregnant woman is admitted to hospital. First of all the division of miscarriage is performed and thus the severity of miscarriage determined. Pregnancy is still intact despite the existence of bleeding, the pregnancy will still exist. In this case, the pregnant woman strict bed rest is prescribed. This often takes the gift of calming drugs. Also taking magnesium tablets can suppress labor.

»With incipient miscarriage

At the beginning and during the incomplete abortion, the so-called abortion incompletus, the therapy is aimed at the miscarriage swiftly bring their completion. The only way to complications for mother and child can be avoided. For this it is necessary to administer blow enhancing drugs. In addition, there is a curettage of the uterus.

»At an early infant death

Is the special case of the so-called Missed abortion is necessary to install a miscarriage using medications are introduced. Let me preface the coagulation of the mother is examined, because often coagulation disorders can be observed when the fetus is already dead for a long time. As with the other abortions also in this case after the miscarriage uterus scraped.

»In rhesus incompatibility

Are women who are pregnant Rhesus negative and have these women a rhesus-positive partner can help prevent a rhesus incompatibility in subsequent pregnancies occur prophylactic administration of anti-Rh immunoglobulin. This must be done within 72 hours after the miscarriage.

Can prevent a miscarriage?

A miscarriage is caused by many different factors. Often, the cause of the miscarriage can not be ascertained, since go already lost 50 percent of the fertilized eggs of a woman (under 30) years. In women over 30 years, the rate is even higher. Therefore, the miscarriage because of today much earlier possible diagnoses of pregnancy has become much more popular than it was the case many years ago.

Minimizing the risks for miscarriage can be done, however. These include a balanced and healthy lifestyle and diet. It is also important to also stress trigger for the woman can be largely avoided. Much relaxation in pregnancy is also very helpful.

Alcohol, tobacco, and even excessive coffee consumption can trigger a miscarriage. On these substances, as well as on drugs, pregnant women should avoid absolutely.